Fallopian Tube Bonding | Fallopian tubes

Fallopian Tube Bonding

Fallopian tube adhesions are responsible for about 20% of infertility in women in Germany. In most cases, the fallopian tube adhesions are caused by inflammation. The upper open end of the fallopian tube, where the fimbriae (“fringes” of the fallopian tube) are also located, often becomes stuck.

These are usually ascending infections from the vaginal tract. Damage to the ciliated epithelium of the fallopian tube often occurs even in the event of inflammation. It can even happen that the inflammation here forms a cavity filled with pus.

The inflammation is usually caused by bacterial infections, adhesions can be caused by Chlamydia bacteria, anaerobes, gram-negative bacteria, Neisseria gonorrhoea (also called gonorrhea) and in very rare cases by tuberculosis. This often leads to an ascending fallopian tube infection through the vagina. Most often, the intestinal bacteria of the Enterococci and E. coli are responsible for the inflammation.

But Chlamydia is also involved in 40% of cases. The infections often proceed without symptoms, only small bleedings give a suspicion. Only later do other typical symptoms such as pain and fever appear.

In patients with coils, the risk of ascending infections is even higher. In addition, the likelihood of ascending infections increases with frequent sexual intercourse. You can find more information on our page Fallopian tubes glued.

At 98%, ectopic pregnancy is the most common pregnancy outside the uterus, the uterus. The risk of an ectopic pregnancy is about 1-2%. Patients with an ectopic pregnancy usually lose their child and it is also more difficult for them to become pregnant in the future.

After a previous ectopic pregnancy, the risk of another ectopic pregnancy is increased by 15-20%. Cause of ectopic pregnancy Due to inflammation of the fallopian tubes or so-called endometriosis, the fallopian tubes can be narrow or even impermeable. Endometriosis is the lining of the uterus, which in this case occurs in the fallopian tubes and causes irritation.In particular, tubal adhesions due to inflammation play the most common role.

In addition, there is inflammation of the abdominal cavity (as in appendicitis, for example), which can lead to adhesions and can thus again contribute to the impermeability of the fallopian tubes. Adhesions or kinking can also occur during operations in the region. Another cause can be tumors of the fallopian tubes, but also benign tumors, such as the myomas of the uterus.

The fibroids press on the fallopian tubes from outside and constrict them. In addition, there are hormonal fluctuations and diseases that can cause an ectopic pregnancy. Hormonal fluctuations increase particularly with age.

In addition, coils, tubal sterilization and the use of minipills can promote an ectopic pregnancy. Course The course of the ectopic pregnancy varies and depends on the location of the ectopic pregnancy. Localization The most frequent is an ectopic pregnancy with 65% in the ampoule, followed by the isthmus with 25% and other localizations in 10%.

Therapy If the ectopic pregnancy is detected at an early stage, treatment with the chemotherapeutic agent methotrexate is usually sufficient. In cases of late detection, surgery is usually necessary after all. Emergency surgery has become very rare in the meantime due to good diagnostics.

  • Resorption of the ectopic pregnancy by the surrounding tissue
  • Tubal rupture: In the case of a tubal rupture, the tubal pregnancy was previously located in the narrowing (isthmus) of the fallopian tube. The pregnancy continues to grow until the fallopian tubes are ruptured. This can lead to extremely strong bleeding with danger to life!

    This is the second most common course of an ectopic pregnancy.

  • Fallopian tube abortion: Fallopian tube abortion usually occurs in the case of an ectopic pregnancy in the rear part (ampoule) of the fallopian tubes. Usually the tubal pregnancy gets into the cavity of the ampoule and reaches the abdomen. About half of it is now resorbed.

    The other part causes complications in the abdominal cavity. This is the most common course of an ectopic pregnancy. The symptoms of a fallopian tube abortion are similar to those of an inflammation of the fallopian tubes, mostly pain in the lower abdomen.

  • Pregnancy delivery: This course is by far the rarest.